| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| BURNHAM FINANCIAL SERVICES, LLC3 Filed as: BURNHAM FINANCIAL SERVICES | 2038 SARANAC AVENUE LAKE PLACID, NY 12946 | MUTUAL OF OMAHA INSURANCE AGENCY | $30K | — | $30K | 14.10% |
| AON CONSULTING INC5 Filed as: BSWIFT, LLC | 10 S RIVERSIDE PLZ CHICAGO, IL 60606 | MUTUAL OF OMAHA INSURANCE AGENCY | — | $4K | $4K | 1.92% |
| MVP BENEFIT GROUP INCORPORATED3 | 625 STATE STREET SCHENECTADY, NY 12305 | TOKIO MARINE HCC- STOP LOSS GROUP | $7K | — | $7K | 5.00% |
| GCG FINANCIAL LLC3 Filed as: ALERA GROUP, INC. | 2038 SARANAC AVENUE LAKE PLACID, NY 12946 | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | $5K | $5K | $10K | 9.13% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 693 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 3 | Continuation coverage (COBRA, retiree health). |
| Total participants (= "Plan participants" tile) | 696 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical) | MVP HEALTHCARE | 504 | $252K |
| Dental | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 588 | $112K |
| Vision | THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA | 588 | $112K |
| Life insurance | MUTUAL OF OMAHA INSURANCE AGENCY | 693 | $212K |
| Long-term disability | MUTUAL OF OMAHA INSURANCE AGENCY | 693 | $212K |
| Stop-loss / reinsurancereinsurance | TOKIO MARINE HCC- STOP LOSS GROUP | 463 | $142K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 693 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Broker compensation exceeds 5% of premium. Either a small-plan minimum-fee dynamic or an inefficient broker structure ripe for a counter-bid.